Individual provider Active NPI

Kevin Lee, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1356871677
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE61543797 Issued in WA
Practice address
325 9TH Ave
Seattle, WA 98104-2499
Phone
(206) 744-3189
Fax
(206) 731-2810
NPI assigned
Jun 19, 2017
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE61543797 WA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD61543815 WA

Addresses

Primary practice location

325 9TH Ave
Seattle, WA 98104-2499

Mailing address

6222 NE 74TH St BLDG 25
Seattle, WA 98115-8158
Phone (206) 543-5860

Other practice location 1

6222 NE 74th St
Seattle, WA 98115-8158
Phone (206) 543-5860

Other identifiers 1

IdentifierTypeStateIssuer
2291136MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816001120 WA Practitioner - Dentist 3678011087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Columbia University College of Physicians and Surgeons, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uw School of DentistryGroup PAC ID 3678948478, 19 clinicians
Harborview Medical CenterGroup PAC ID 3971404716, 4 clinicians

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-6365
Phone (206) 616-6996

325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 744-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61543815WAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Aug 24, 2024 Accepting new patients
Harborview Medical Center CurrentSince Aug 18, 2024 Accepting new patients
University of Washington CurrentSince Aug 24, 2024 Accepting new patients
Harborview Medical Center CurrentSince Aug 18, 2024 Accepting new patients
Uw School of Dentistry Oral and Maxillofacial Surgery CurrentSince Jul 1, 2024 Accepting new patients

Locations

345 6th St
Ste 300
Bremerton, WA 98337
Phone (360) 337-5235

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

325 9th Ave
Fl 4
Seattle, WA 98104
Phone (206) 744-3189

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 597-4414

6222 NE 74th St
Seattle, WA 98115
Phone (206) 543-5800

6222 NE 74th St
Bldg 25
Seattle, WA 98115
Phone (206) 543-5860

Interoperability endpoints

  • Direct secure messaging: klee1683380@direct.ehre.uwmedicine.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1356871677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 NE 74TH ST BLDG 25",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158158",
            "telephone_number": "206-543-5860",
            "fax_number": "206-731-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042499",
            "telephone_number": "206-744-3189",
            "fax_number": "206-731-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 NE 74th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981158158",
            "country_code": "US",
            "telephone_number": "206-543-5860",
            "fax_number": "206-616-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE61543797",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "MD61543815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2291136",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.